Medical Management (AHM540)

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Over the last several years, landmark reports have brought attention to the gaps between evidence-based best practices and the care some patients actually receive. However, when health care organizations adopt medical management tools, the gap closes. As care improves, costs go down. The Medical Management (AHM540) online course provides the information tools you need to ensure that more consumers and patients receive safe, effective, affordable care.

What You’ll Learn

Understand role of medical management in health insurance provider organizations

Identify how and why a delegation is used in medical management

Examine the role of medical management in providing pharmacy services

Recognize the importance of preventive care and self-care programs

Explore strategies for managing complex individual cases

Understand disease management—its purpose, processes, and programs

Learn how medical management is used in different types of care

Quality management methods—measurement and improvements

Recognize how medical management is used to deliver Medicare and Medicaid services

Who Should Take This Course

Case managers

Government benefit programs administrators

Health insurance provider staff

Medical directors

Medical management staff

Pharmacy benefit manager staff

Enrollment

$220 AHIP Members

$280 Non-members

To enroll in a course, please log in and browse our online catalog. If you are a new user, please create an account to get started.

For even greater ROI, contact our experts at TrainingSolutions@ahip.org or call the Support Team at 800.509.4422. We can create a custom blend of courses, test prep classes, and group sessions that make the most sense for you and your budget.

Medical Management (AHM540) is brought to you by the Academy for Healthcare Management (AHM). Sponsored by America’s Health Insurance Plans and the Blue Cross Blue Shield Association, AHM relies on both associations’ decades of experience providing continuing education for health insurance plan professionals. AHM serves more than 1,300 health insurance plans caring for and providing coverage to more than 200 million people.